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Individual

MARK BYALIY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
5439 DURAND AVE STE 100, MOUNT PLEASANT, WI 53406-5058
(262) 898-9000
Mailing address
5439 DURAND AVE STE 100, MOUNT PLEASANT, WI 53406-5058

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
363A00000X
Physician Assistant
Primary
WI

Other

Enumeration date
03/10/2017
Last updated
10/29/2025
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